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HomeMy WebLinkAbout14449-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-16713 Date March 16, 1988 THIS CERTIFIES that tile building CONSTRUCT ADDITION & ALTERATION Location of Property 250 Blue Marlin Drive Greenport, N.Y. Hou$o IVo, Street Ham/et County Tax Map No. 1000 Section 05 6 .. ,Block 0 7 ,Lot 0 2 I Subdivision..M./9..Sg,u,~h. 91..d. ,Sh. 9.re. ,s ........... Filed Map No...3.8.5.3...Lot No, , .3 ........... conforms substantially to the Application for Bnilding Permit heretofore filed in this office dated .... .N.o.v.e.m..b.e.r.. 6.:,. I. 9. 8 5 pursuant to which Building Permit No... 1.4..4.4,9.. z. ........... dated .... ,D .e.c.e,m. b..e,r.. 5. ~. ,1.9. 8..5 ..... was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ADDITIONS & ALTERATIONS TO EXISTING ONE FAMILY DWELLING The certificate is issued to HOWARD & JANET A. MALONE ..................... ?oY.;;,'l~g~,~'~ ..................... of the aforesaid building. Suffolk County Department of Health Approval ........ N / A UNDERWRITERS CERTIFICATE NO .................. ~.8.4. 9. 4..2.7..-~..J.a.n.....1.1. ,.. } .9.8.8. .... March 15, 1988 PLUMBERS CERTIFICATION DATED: Rev. 1/81 ·ORM NO. B TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 14449 Z ........................................................ , 19o . Permission is hereby gronted to: ...~'-~ ~.~.~.~,~.~.~C~.......--.....~J..~=.... to .............................................................................. .'~..~.~ ~:~,...;D...../..~ ....... , ................................... .,.~.~~.'~'...~,~...~.....~ ..................................................................................................... et ;remises I~ated at ...... .~..~~...~,~.$~.L~...:~.{~.~ .......... ...................................................................................................... ~~~~:.~.V. ......... ......... ~.~ T.~ ~ No~ ~000 s.~t~o. ~.~.~ ....... ~ ..~..~ ......... L~ No..~.~ ......... pu,uant to application dat~ ~~...~....., i~d approv~ by the Building Inspector. Rev. 6/30/80 FORM NO, 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m ~ to the Building Inspec- __tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2.Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5.Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existi~g" land uses: 1. Accurate survey of pzmperty showing all propertv lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 1. Certificateofpccupancy New Dwelling $25.00, Accessory '$]0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Upda-~ed C.O." $ 50.00 Date .?..~../.?..7..~..~. .......... New C on s t ~ u c t J on ...... Old or Pre-existing Building ....... ,~ .... Vacant Land ............. · _ . House No. Street Hamlet Owner or Owners of Property ............................ Z¢. Y n .......................... County Tax Map No. 1000 Section .... P .~...~. ..... Brock ..... ~ ........ Lot... ?-..1[ .......... .Filed Map No Subdivision ~ Health Dept. Approval ................ ' ........ Labor Dept. Approval ........................ Underwriters Approval .: ...................... Planning Board Approval ...................... Fee Submitted $. ~ ¢~-:-~q · Con stru ct ion o. above described building and~ ~r_m it meets ~:?cable codes a nd regulations. App,,ca.t .-. ................... Rev. 1040-78 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No. I ~4 ~' (please print) Plumber ~'~[~ ~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber's signature) Sworn to before me this 1,5'{~ day of ~a~'~_ ,' 19 ~ Notary Public,~:l~_~County No-[~ry Ph-~l ic DONNA LYNN SPAIN NOTARY PUBLIC, State of New York No. :4889145 Qualified in Suffolk County Commission I?xpires April 6, TOWN OF SOUTIIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTIIOLD, N.Y. 11971 TEL. '/65-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of the following reasons. /~/ An application for Certificate of Occupancy is not on file. /5/ No Underwriters Certificate on file. /5/ The check is(outdated/not on file.) /~/ No Health Dept. Approval on file. /5/ No final inspection has been made. Please contact our Thank you for your cooperation. Building Permit I, __/ ~___ d ~ .~ Z Building Dept. ***~ No Plumber solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) office on this matter. TOWN OF SOUTIIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 723 TOWN HALL SOUTIIOLD, N.Y. 11971 TEL. 755-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of the following reasons. /~/ An application for Certificate of Occupancy is not on file. /~/ No Underwriters Certificate on file. /5/ The check is(outdated/not ou file.) No Health Dept. Approval on file. /~/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. ~uilding Permit tl ~/ ~. ~ ~ ....~ Z Building Dept. No Plumber Soldor Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) THE NEW YORK BOARD OF FIRE .UNDERWRITERS BUREAU OF ELECTRICITY JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT P#14449E only the electrical equipment ag d~scribed below and i~troduced by the applicant named on the above application number in tfoa~d F. Malone. 250 t~lue Marl£n t~w*s ex. mined on D¢-~celilbel' 28, 1987 a~d found to be in cotnpli..¢e u'ith the req~*iremer~ts of this Board. FIXTURE FIXTURES RANGES OVENS DISH OUTLETS :1.9 62 38 DRYERS FURNACE 19 FUTURE APPLIANCE FEEDERS TIMECLOCKS UNIT HEATER~ MULTI-OUTLET SYSTEMS NO, OF FEET - DIMMERS SERVICE DISCONNECT OTHER APPAEATUS: S E R V I C E A, WG OF CC, COND OF NEUTRAL Moward F. M~lone 293 ~lue Marl~m Dr. Greenport-Southold Shores, 11971 GENERAL MANAGER 8oard if [espectors This certificate must not be altered in any manner; return to the office of incqrrect.' may be identified by their credentials. FI E~L~ INSPECTION~ )ATE COMMENTS FOUNDATION (lsfi) ~ ~ FOUNDATION (2nd) ' ...... -- INSULATION PER N.~ ' STATE ENERGY 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [~FINAL REMARKS: 7GS-~.802 BUILDING DEPT. INSPECTION ~4~ FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING i* ] FINAL DATE INSPECTOR 7G5-'~802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [~RAMING [ ] FINAL DATE ~.~/~:~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION ZST FOUNDATION ZND [ ] INSULATION [ ] FINAL [ ] FRAMING REMARKS: [ ]~ROUGH PLBG. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND [,~NSULATION [ ] FRAMING REMARKS: ROUGH PLBG. FINAL DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING [ ] ROUGH PLBG. [ ] INSULATION ,r./~FI NAL REMARKS: DATE INSPECTOR 250 Blue"Marlin Driv~ Southold, NY 11971 June 2, 1987 Town of Southold Building Inspector Town Hall Main Road Southold, NY i1971 Attn: Mr. C. Horton Dear Sir: Per our discussion of Monday, June 1, this is my letter of request for a six month extension of the subject building permit. This will enable me to complete the final phase of construction on my residence addition. Thanks very much for your cooperation in this matter. Yours truly, ~ Howard F. Malone (Owner/Builder FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL COUTHOLD, N.Y. 11971 TEL.: 765-180:2 TOWN OF SOUTHOLD Examined~...~..., 19~:'t~-- Approved .SF~.. '~ ...... 19~..~ermit No..[..~..%/..~. ~ ~ Disapproved a/c ----~'-- ............... APPLICATION FOR BUILDING PERMIT Received ........... ,19... Date . .~'..~?.¢~.0.~.£. · · b..., 19 g~" INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necess94ry inspections~,~=~%, ,~. ~ _ (Signature of applicant, or name, if a corporation) ~.'s'~ ~.o,_-" ht~rec.;~ Del& oS'oo.~,~,a.~ ~,/~. m?j (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~,me of ow=r of premises .I.q. .~? ~ ~ .~. . .~'. . .¢. . . .T.O~. .~'.':. .t~'. . ~.~Z:. e.O. .F. ...................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ....~..~.~.:...~.oir.... h.¢. .°>. 7. ' (Name and title of corporate officer) Plumber s License No .......... Electrician's License No. ...... 5//. ~ ...... Other Trade's License No ...................... 1. Location of land on which proposed work will be done ............. ~..r'~ .t~.~.~>.. )..~..~ . I. [ .~ .~.~2. .... ;Z~o FSco~: /~-~,o ~re~Ve-~'oo~,,~ ~ .... .~..~..~. House Number Street Hamlet County Tax Map No. 1000 Section O Subdivision 0 7/'/:0l..)) Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed donstruction: a. Existing use and occupancy ...[. b. Intended use and occupancy ............ .9:....z~...-.:. .... ,~,W,~... ~ .................... 3. Nature of work (check which applicable): New Building .......... Addmon ...... Alteration .......... Repair .............. Removal .............. Demolition ........... i' Other Work ............... 'i't, (Desc ption 4. Estimated Cos ..... / ................... :-' ........... Fee ...... ~ ......................... x (to be p~id on filing this application) 5. If dwelling, number of dwelling units ...... { ..... '... Number of dwelling ~its bn each floor ................ If garage, number of c~s ............................................. ¢ .......................... 6. If business, commercial or mixed occupancy, specify nature and extent of each ~ypej of use ............ > ........ 7. D~ensions of/existing structures, if any: Front... ~.q ~6.~ .... Rear . .~ O. ~.~.~ .... Depth .. ~. E ... Height . .I.~ ........... Number of Sto~es ...... ] .............. ; ' '2 ..... .............. v' · '~ D~ensmns of same structure w~th alterations or additions: Front .~0. :6. ...... ' ....Rear .. ~q.~ ........ ~ 5~ / HeiSt [ ~ ~ Number of S~ofies Depth ............................................................. 8. D~mens~onsofentirenewconstmctlon:Fron.... .......... Rear . . .. ..,......De .. .. ........ Height .. ~6.( ........ ~mber of Sto~es ...~.. ........ ~ .............. ~ ................ 10. Date of Purchase ............. I.~6~ ........... Name of Fomer Owner .~ 11. Zone or use district in which premises are situated . ~ .( ......... ~?~[~& .................. 12. Does proposed construction violate any zoning law, ordinance or regulation: .. ~.Q ........................... 13. Will lot be regraded ...... ~ .................. Will excess fill be removed Nme of Architect ....... ~ ' . Address .. ~qq.qtte¢~ N~ Pho~ Nmue of Contractor . ., Address ....... 2 (, [ .... ' Phone No' ..... ' PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indJ proper~y lines. Give street and block number or description according to deed, and show interior or corner lot. STATE OF NEW YORK, COUNTY OF ............ ...,. S.S :ate all set-back dimensions from street names and indicate whether I I [or A being duly sworn, deposes and says that he is the applicant (Name of individual signing contract). above nanled. He is the .............................................................. i ........................... (Contractor, agent, corporate officer, etc.)l of said owner or owners, and is duly authorized to perform or have performed the s~id work and to make and file this application; that all statements contained in this application are true to the best of his! knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ............ ~...2~....,...day of .... .~...t~. ........... , 19 ~...~ ~Iotary Public ....... ~....A~.-.. ?..~. ~..a~.. .... County HELEN IL t)E VOE NOIAJW PUBLIC. State of New . Ho...4707878, Suffolk lerm ~phes Min)h $0. lg~Z.~, ($igfiathi'~ ~dfiapiiii¢~t ) ,l Ng'~l COltlSTAUCTIOM I I I I ...... .~_ _1__ z_. _I____L, T/ON' L .?.Y., lO - 16"0. C I LOW ~ ~OTIFY BOILD[NG DEPARTMENT AT ~I~G INSPE~[ONS: ~ ~OU~H - FRAMrNG & PLUM~ING ~E ~[QUtREMENTS OF THE N.Y. il! ~ Ill WEST NE~I CON STR, OC T iO IV' ~ tl '1 I I I I I ~Ou1'll £L£Vb~TfOK- //50* PORCH Roof ,~ lo -/6'~0, C. /~" O, C, TR/~Z 6 PO[~c# DECK LEVEL S UPPL Y ~ ~ b ~ 2.M CANNOT EXCEED 2/10 of 1% LEAD. It c, [,per ,ublng is used ~ u wraler d]sldbuting ,~ ,,h d:~g sh~ll be ~: h,'pes K er L only / ® m 17"'0" r tJo ~ : T 2,F'-O' /6:0° ~ T f 3'-10 17' 0" )¢ TOP oF 2- 8~ UP ANDER$F~ A IV-3/-22 CX- ~ 35 /: O' ?_ o" +'-L;' 2~10 :T¢ IS ir h'J 6t 0" ~OTRT~ L 17'0"